Gibbons, Jerry

Gibbons, Jerry is an individual health care provider with primary practice located at 1001 Rohlwing Rd , Elk Grove Village IL 60007-3217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gibbons, Jerry can be contacted via phone (847) 524-8800.

Contact Information

Primary practice address
1001 Rohlwing Rd Elk Grove Village IL 60007-3217
Phone: (847) 524-8800
Fax: (847) 524-8824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 336072265 Illinois

Profile Details

NPI number 1619080124
LBN Legal business name Gibbons, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619080124 NPPES
Illinois Other 0081646688 BCBS
Illinois Other 0071648971 BCBS
Illinois Other 0021622840 BCBS

Popular Providers